方法：对2013年米易县攀莲镇地区60岁以上、视力低于0.3的老年人共227例，集中行常规体格检查及眼科检查。对术前各个指标合格，排除其他眼病所致白内障且晶状体核达Ⅳ级者42例42眼，行单眼“白内障囊外摘除联合人工晶状体植入术”，观察术后第1d视力及眼科情况。

结果：2013年米易县攀莲镇低视力老年人群中，白内障患病率为81.06%，其中老年性白内障患病率为69.60%，并发性白内障患病率8.81%，代谢性白内障患病率为3.52%，其他引发低视力眼病患病率15.06%。选取42例42眼行手术治疗，术后脱盲率达100%。

结论：应在继续加强老年性白内障宣传的同时，加强可引发白内障其他眼病及内科疾病的防治知识，提高门诊诊断率，改进白内障手术方式，从而更好地开展好米易县乡镇的防盲治盲工作。

METHODS: In 2013 each villages and towns area of Miyi County had a total of 227 patients with above 60 years old, visual acuity less than 0.3. Concentrated routine physical examination and eye examination were checked. Qualified for the preoperative indexes, 42 cases(42 eyes)of other diseases caused by cataract and lens nucleus of grade IV were excluded, for monocular “extracapsular cataract extraction combined with intraocular lens implantation” were performed, and observing the vision of the first postoperative day and the situation of ophthalmology.

RESULTS: Miyi County in the elderly population with low vision in 2013, the prevalence rate of cataract was 81.06%, including senile cataract(69.60%), the complicated cataract(8.81%), metabolic cataract(3.52%), other causes low vision eye disease(15.06%). Selecting 42 cases(42 eyes)underwent surgical operation. After operation, the literacy rate is up to 100%.

CONCLUSION: Publicity in senile cataract and other eye disease should be strengthened continually. Strengthening the prevention and treatment knowledge, which can cause cataract and internal medicine disease, can improve the clinic diagnostic rate and change the cataract operation mode, so as to make the development of township of Miyi County in prevention of blindness much better.